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Search / Trial NCT06048081

Early Access Program for Zolbetuximab

Launched by ASTELLAS PHARMA GLOBAL DEVELOPMENT, INC. · Sep 15, 2023

Trial Information

Current as of June 29, 2025

Available

Keywords

Zolbetuximab Imab362 Modified Oxaliplatin, Folinic Acid (Leucovorin) And Fluorouracim (Folfox6) Capecitabine And Oxaliplatin (Capox) Early Access Program (Eap) Human Epidermal Growth Factor Receptor 2 (Her2) Negative Claudin 18.2

ClinConnect Summary

The European Union European Medicines Agency, the United States Food and Drug Administration, and South Korea Pharmaceuticals and Medical Devices Agency have approved zolbetuximab for the treatment of advanced stomach/GEJ cancer in adults. Enrollment is closed in United States, and Germany.

Gender

ALL

Eligibility criteria

  • Inclusion Criteria:
  • Patient has histologically confirmed diagnosis of gastric or gastroesophageal junction adenocarcinoma.
  • Patient has confirmed locally advanced, unresectable or metastatic gastric or GEJ adenocarcinoma.
  • Patient whose tumor expresses claudin18.2 (CLDN18.2) in ≥ 75% of tumor cells demonstrating moderate to strong membranous CLDN18 staining as determined by local or central immunohistochemistry (IHC) testing.
  • Patient has a Human epidermal growth factor receptor 2 (HER2-negative) tumor by local testing on a gastric or GEJ tumor specimen.
  • Patient has Eastern Cooperative Oncology Group (ECOG) performance status 0 or 1.
  • Patient must meet all of the following criteria based on the locally analyzed laboratory tests collected.
  • Hemoglobin (Hgb) ≥ 9 g/dL. Patients requiring transfusions are eligible if they have post-transfusion Hgb ≥ 9 g/dL.
  • Absolute neutrophil count (ANC) ≥ 1.5 × 109/L
  • Platelets ≥ 100 × 109/L
  • Albumin ≥ 2.5 g/dL
  • Total bilirubin (TBL) ≤ 1.5 × ULN without liver metastases (or \< 3.0 × ULN if liver metastases are present)
  • Aspartate aminotransferase (AST) and alanine aminotransferase (ALT) ≤ 2.5 × upper limit of normal (ULN) without liver metastases (or ≤ 5 × ULN if liver metastases are present)
  • Estimated creatinine clearance ≥ 30 mL/min
  • Prothrombin time/international normalized ratio (PT/INR) and partial thromboplastin time ≤ 1.5 × ULN (except for patients receiving anticoagulation therapy)
  • * Female patient is not pregnant and at least 1 of the following conditions apply:
  • Not a woman of child bearing potential (WOCBP)
  • WOCBP who agrees to follow the contraceptive guidance from the time of informed consent through at least 9 months after the final administration of oxaliplatin and 6 months after final administration of other interventions.
  • Female patient must agree not to breastfeed starting at screening and throughout the EAP period and for 6 months after final intervention administration.
  • Female patient must not donate ova starting at first administration of treatment and throughout the EAP period and for 9 months after the final administration of oxaliplatin and 6 months after final administration of other interventions.
  • Male patient with female partner(s) of childbearing potential (including breastfeeding partner) must agree to use contraception throughout the treatment period and for 6 months after final treatment administration.
  • Male patient must not donate sperm during the treatment period and for 6 months after final treatment administration.
  • Male patient with pregnant partner(s) must agree to remain abstinent or use a condom for the duration of the pregnancy throughout the EAP period and for 6 months after final treatment administration.
  • Exclusion Criteria:
  • Patient has previously received treatment in a clinical trial of zolbetuximab, or a clinical trial that included zolbetuximab as 1 of the treatment options, even if the patient was not given zolbetuximab.
  • Patient is a candidate for an ongoing clinical trial of zolbetuximab.
  • Patient has received any investigational therapy within 28 days or 5 half-lives prior to screening.
  • Patient has a known or suspected hypersensitivity to zolbetuximab, other monoclonal antibodies or any components of the formulation used.
  • Patient has received prior systemic chemotherapy for locally advanced unresectable or metastatic gastric or GEJ adenocarcinoma. However, patient may have received either neo-adjuvant or adjuvant chemotherapy, immunotherapy or other systemic anticancer therapies as long as it was completed at least 6 months prior to participation.
  • Patient has received radiotherapy for locally advanced unresectable or metastatic gastric or GEJ adenocarcinoma ≤ 14 days prior to program registration and has not recovered from any related toxicity.
  • Patient receiving treatment with herbal medications that have known antitumor activity.
  • Patient has received systemic immunosuppressive therapy, including systemic corticosteroids within 14 days prior to registration. Patients using a physiologic replacement dose of hydrocortisone or its equivalent (defined as up to 30 mg/day of hydrocortisone or up to 10 mg/day of prednisone), receiving a single dose of systemic corticosteroids or receiving systemic corticosteroids as premedication for radiologic imaging contrast use are allowed.
  • Patient has a prior severe allergic reaction, known (immediate or delayed) or suspected hypersensitivity, intolerance or contraindication to zolbetuximab, mFOLFOX6, CAPOX, other monoclonal antibodies or any components of the formulations used.
  • Patient has known dihydropyrimidine dehydrogenase (DPD) deficiency. (NOTE: Screening for DPD deficiency should be conducted per local requirements.)
  • Patient has a complete gastric outlet syndrome or a partial gastric outlet syndrome with persistent/recurrent vomiting.
  • Patient has significant gastric bleeding and/or untreated gastric ulcers that would exclude the patient from participation.
  • Patient has any other condition, which makes the patient unsuitable to receive or tolerate zolbetuximab.

About Astellas Pharma Global Development, Inc.

Astellas Pharma Global Development, Inc. is a leading biopharmaceutical company dedicated to advancing innovative therapies that address unmet medical needs across various therapeutic areas, including oncology, urology, and immunology. With a strong commitment to research and development, Astellas leverages cutting-edge science and technology to drive clinical trials that evaluate the safety and efficacy of novel treatments. Guided by its core values of integrity, teamwork, and excellence, Astellas strives to improve patient outcomes through collaboration with healthcare professionals and regulatory authorities, ultimately enhancing the quality of life for patients worldwide.

Locations

Morristown, New Jersey, United States

München, , Germany

Seoul, , Korea, Republic Of

San Cristobal De La Laguna, Santa Cruz De Tenerife, Spain

Zurich, , Switzerland

Morristown, New Jersey, United States

Berlin, , Germany

Chemnitz, , Germany

Damme, , Germany

Erkelenz, , Germany

Frankfurt Am Main, , Germany

Goettingen, , Germany

Hamburg, , Germany

Kempten, , Germany

Kiel, , Germany

Kiel, , Germany

Koblenz, , Germany

Magdeburg, , Germany

Munich, , Germany

Nuernberg, , Germany

Ravensburg, , Germany

Thuine, , Germany

Tübingen, , Germany

Ulm, , Germany

Viersen, , Germany

Wiesbaden, , Germany

Belem, , Brazil

Belo Horizonte, , Brazil

Brasília, , Brazil

Florianópolis, , Brazil

Londrina, , Brazil

Manaus, , Brazil

Natal, , Brazil

Porto Alegre, , Brazil

Rio De Janeiro, , Brazil

Sao Paulo, , Brazil

Angers, , France

Angers, , France

Avignon, , France

Bordeaux, , France

Bordeaux, , France

Brest, , France

Cagnes Sur Mer, , France

Clermont Ferrand, , France

Clermont Ferrand, , France

Colmar, , France

Corbeil Essonnes, , France

Le Blanc Mesnil, , France

Lormont, , France

Lyon, , France

Lyon, , France

Marseille, , France

Montpellier, , France

Nantes, , France

Niort, , France

Paris, , France

Paris, , France

Paris, , France

Paris, , France

Paris, , France

Perigueux, , France

Perpignan, , France

Rodez, , France

Rouen, , France

St Gregoire, , France

St. Malo, , France

Suresnes, , France

Suresnes, , France

Trevenans, , France

Vannes, , France

Vantoux, , France

Villejuif, , France

Villejuif, , France

Damme, , Germany

Erkelenz, , Germany

Essen, , Germany

Frankfurt, , Germany

Hamburg, , Germany

Incheon, , Korea, Republic Of

Seongnam Si, , Korea, Republic Of

Seoul, , Korea, Republic Of

Seoul, , Korea, Republic Of

Seoul, , Korea, Republic Of

Seoul, , Korea, Republic Of

Suwon Si, , Korea, Republic Of

Suwon Si, , Korea, Republic Of

Ulsan, , Korea, Republic Of

Yangsan Si, , Korea, Republic Of

Singapore, , Singapore

Singapore, , Singapore

Singapore, , Singapore

Singapore, , Singapore

Singapore, , Singapore

Singapore, , Singapore

Patients applied

0 patients applied

Trial Officials

Medical Director

Study Director

Astellas Pharma Global Development, Inc.

Timeline

First submit

Trial launched

Trial updated

Estimated completion

Not reported